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Elderly patients with hip fracture experience high morbidity and mortality, and are often undertreated for pain. Acute pain management in the elderly is challenging, with physiological frailty, medical comorbidities and cognitive impairment commonly compounding pain assessment and treatment. Guidelines outlining current best practice for acute pain management in the elderly now exist, but evidence...
Postoperative delirium is common after hip fracture surgery, and may have a neuro‐inflammatory cause. We conducted a single‐centre, randomised, double‐blind, placebo‐controlled trial of 117 older hip fracture patients to see if a single, pre‐operative intravenous dose of 125 mg methylprednisolone could reduce the severity and/or incidence of postoperative delirium, assessed using the Confusion Assessment...
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